LEW BRADLEY DISNEY (MD) – Neurological Surgery Physician, NPI 1154307296

LEW BRADLEY DISNEY (MD) is a healthcare provider. based in Pomona, California. specializing in Neurological Surgery Physician. They hold the professional credentials MD. They hold a License No. A49362 (CA). The NPI Number for LEW BRADLEY DISNEY (MD) is 1154307296

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
LEW BRADLEY DISNEY (MD)
NPI
1154307296
Phone
(909) 450-0369
Address
255 E BONITA AVE
Enumeration Date
20 December 2005
Last Update Date
15 June 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9094500369
Graduation Year
1991 (35 years ago)
PAC ID
2163400946
Group Practice PAC ID
2961445267
Professional Enrollment ID
I20040708001170
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for LEW BRADLEY DISNEY (MD)

  • 255, Bonita Avenue, North Pomona, Pomona, Los Angeles County, California, 91767, United States

    BUILDING #9

    POMONA, CA 917671923

    Phone: (909) 450-0369

    Fax: (909) 450-0366

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $113.

Total Amount is formed as General ($113) + Research ($0) + Ownership ($0) = $113.

Last reported payment date: 2024-10-18 • Largest payer in this snapshot: ABBVIE INC. ($48).

Total Amount

$113

General + Research + Ownership

Payments

5

Total payment records

General Amount

$113

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-07-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040708001170IGeneral PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
72148Mri scan of lower spinal canal without contrast3634$0
99214Established patient office or other outpatient visit, 30-39 minutes3529$0
99204New patient office or other outpatient visit, 45-59 minutes2828$0
72141Mri scan of upper spinal canal without contrast1716$0
View full utilization report →

Insurance plans in this area (ZIP 91767)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2961445267View full group profile
NameSpecialtyState
General Surgery, NeurosurgeryCA
Diagnostic RadiologyCA
Physician AssistantCA
Physician AssistantCA
N E U R O S U R G E R YCA
N E U R O S U R G E R YCA
Physician AssistantNH
N E U R O S U R G E R YCA
N E U R O S U R G E R YCA
Interventional Radiology, NeurosurgeryCA

Reviews

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Frequently asked questions

Where can patients find LEW BRADLEY DISNEY (MD)'s NPI?
You can confirm LEW BRADLEY DISNEY (MD) with NPI 1154307296; it appears in the national provider directory.
Is LEW BRADLEY DISNEY (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does LEW BRADLEY DISNEY (MD) list a primary specialty?
If you are matching referrals, note Neurological Surgery Physician for LEW BRADLEY DISNEY (MD). Clinical services aligned with this taxonomy classification.
Does LEW BRADLEY DISNEY (MD) practice in California?
You will see Pomona, California on file for LEW BRADLEY DISNEY (MD) alongside any extra practice locations.
What if Pomona, California seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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